The practice believes that prevention is better than cure and runs a number of special clinics to keep you in the best of health.

Diabetic Clinic

Qualified Practice Nurses are able to advise patients who are newly diagnosed with diabetes about the condition, healthy lifestyle choices and their medications. The Practice Nurse is also able to refer you to the dietician, retinopathy screening (eye clinic) and the diabetic centre at Worthing Hospital. The Practice Nursing Team like to review all patients with diabetes twice a year.

Before your review you will need to have a fasting blood test 2 weeks before your appointment. Having your blood test taken 2 weeks before will allow time for the results to be entered into your records before your appointment. You will also need to bring the first urine sample of the day with you to the blood test appointment. For more information on diabetes, please visit the Diabetes UK website www.diabetes.org.uk

Hypertension Clinic

If you suffer from hypertension our Healthcare Assistant will monitor your blood pressure twice a year. A blood test and lifestyle review will be performed once a year. Please could you bring a urine sample with you to this appointment. For more information on hypertension, please visit the British Heart Foundation website www.bhf.org.uk

Blood Presure

You do not need to make an appointment to check your blood pressure. We have a blood pressure monitor at the top of the stairs, which is available during our opening hours. Please pass the blood pressure results to reception, who have been trained to tell you if it is satisfactory or needs further monitoring. Patients who suffer from Hypertension should not use the blood pressure machine - please book an appointment to see the HCA.

Asthma Clinic

The Practice Nursing Team are able to assist in the diagnosis of asthma and are also able to advise on how to manage this with lifestyle choices and use of inhalers best suited to the individual. We like to review everybody at least once a year, however if there is a change in your symptoms before your next review, we are very happy to see you sooner. For more information on Asthma, please visit the Asthma UK website www.asthma.org.uk

COPD Clinic (Chronic Obstructive Pulmonary Disease)

The Practice Nursing Team are able to assist in the diagnosis of this condition and are also able to advise on the best way to manage it with lifestyle choices and possible use of inhalers best suited to the individual. We like to review everybody at least once a year, when we perform spirometry (a detailed measurement of your lung function). On the day of this review we would prefer, if possible for you NOT to have used your inhalers, as this will enable us to get a more accurate reading. If there is a change in your symptoms before your next review, we are very happy to see you sooner. For more information on COPD, please visit the British Lung Foundation website www.lunguk.org

Mental Health Reviews

It is important that patients with serious mental health illnesses are reviewed regularly by their GP. We aim to offer this review at least once a year and will discuss mental health, physical health and medication, as well as any other issues such as employment and other useful services. These reviews are offered even for patients who are looked after by a Psychiatrist.

Stroke Clinic (Also known as CVA / TIA)

The Practice Nursing Team like to review your condition and medication at least once a year. This requires a fasting blood test 2 weeks before your review appointment. Having your blood test done 2 weeks before will allow the nurse to discuss the results with you. If there is a change in your symptoms before your review is next due, we are very happy to see you sooner. For more information on Stroke, please visit the Stroke Association website www.stroke.org.uk

CHD Clinic (Coronary Heart Disease)

This review is performed by our Healthcare Assistant, and requires a fasting blood test. Your blood test results will be reviewed by your doctor. If there is a change in your symptoms before your next review is due, we are very happy to see you sooner. For more information on all aspects of heart disease, please visit the British Heart Foundation website www.bhf.org,uk

HRT / Menopause Clinic

Patients 55 and over must have a 6 monthly review with the Nurse Practitioner or a Doctor, Patients 60 and over must see a Doctor for review. You must ensure that you keep up to date with cervical smears and breast examinations/mammography. Please return sooner if you have any concerns. For more information on the menopause and HRT, please visit www.menopausematters.co.uk

Family Planning

All forms of family planning including the fitting of IUCDs (coils) and implants are offered by consultation during normal surgery hours and at our family planning clinic.

The family planning association site www.fpa.org.uk offers useful information.

Cervical Smears

Cervical smears are strongly recommended at 3 yearly intervals for all women up to the age of 49 and 5 yearly intervals until the age of 65. Most smears are taken by our practice nurses, but if you prefer, a doctor will carry out the test. You will be recalled automatically by the practice when you are due to have a cervical smear. Please ensure you are in the middle of your menstrual cycle when you have your cervical smear.

Smoking Cessation

It is never too late to stop smoking, if you are serious about stopping your doctor or nurse will provide help and information about our inhouse quit smoking clinics and local smoking cessation services. . Please contact reception for further information.

Cryotherapy Clinic

The surgery provides a freezing treatment for minor skin lesions such as warts, verrucas and benign skin lesions. It is necessary to see the doctor first to see if the lesion is suitable and if treatment is needed. This clinic usually takes place on a Friday lunchtime.

Child Health Clinic

We offer a mother and baby check at 6-8 weeks, this check is carried out by one of the Doctors at the surgery. It will give you the opportunity to discuss concerns you may have with regard to yourself or your baby.

Our Health Visitors offer a well baby drop in clinic on any Tuesday, at the Surgery between 9.30am-11.30am

Childhood Immunisations

We hold immunisation clinics (for children under 16) on a Wednesday afternoon between 1.45-3.30pm and Thursday mornings between 11.00 - midday. We aim to send out appointment times to our patients. If you do not receive an appointment, please contact reception. Please see Useful Information, Contacts & Links for information on the childhood immunisation programme.

Pregnancy Testing

Pregnancy Testing can only be carried out if clinically indicated by a Doctor or Nurse.

Minor Operations

Some minor operations are carried out on the surgery premises. Please contact reception for further information.

Carers

If you care for, or help someone with a long term illness, physical disability or mental health difficulty whether it is a partner, friend, relative or neighbour, then YOU ARE a carer. We hold a register of carers at the practice to help us recognise your needs as a carer and provide you with further information. Please speak to reception for details. 3

Travel Health Clinic

It is particularly important to prevent disease when travelling abroad. Our nurses can advise you on sensible precautions and give some of the appropriate vaccinations, however, you may also need to attend a private travel clinic.

You will need to make an appointment at least 6 weeks before your intended date of travel.

For Travel advice you can visit www.fitfortravel.nhs.uk or www.nathnac.org or you can telephone the MASTA travel helpline (09068 224100) a few days before your appointment, they will give you the latest information which you can bring into your appointment.

It may be difficult to organise vaccinations at short notice. In these cases we recommend the Travel Clinics at Gatwick and Heathrow Airports. For more information about EHIC (European Health Insurance card) which have replaced the E111 please see Useful Information, Contacts & Links.

There is further information about countries and vaccinations required on the links below

MEDICAL EXAMINATIONS

GP Training Practice

The Manor Practice is a training practice. You may therefore be offered an appointment with a qualified doctor gaining experience in general practice or be asked if one may be present whilst you consult your own doctor. If you prefer to see your own doctor in private, please let us know.

Registrar Doctors

Registrars are fully qualified doctors who have decided they would like to become GPs. They will undertake a minimum of six months of "on the job" training with us here at the Manor Practice and are supervised by our head of training; Dr Keith Thomas.